Minutes of Trust Board Meeting held on Thursday 7 July 2016 at 11.00 am in the Boardroom, Trust Headquarters, A Floor Belfast City Hospital Present Mr Peter McNaney Dr Michael McBride Mr Gordon Smyth Ms Anne O Reilly Mr Martin Bradley Mr Martin Dillon Miss Brenda Creaney Mr Cecil Worthington IN ATTENDANCE: Mr Shane Devlin Ms Catherine McNicholl Mrs Bernie Owens Ms Claire Cairns Mrs Bronagh Dalzell Mrs Angela Muldoon Chairman Chief Executive Deputy Chief Executive/Director of Finance Director Nursing and User Experience Director Social Work/Children s Community Services Director Performance, Planning and Informatics Director Adult, Social and Primary Care Director Unscheduled and Acute Care Head of Office of Chief Executive Head of Communications Minute Taker Apologies Mrs Miriam Karp, Mrs Nuala McKeagney Dr Patrick Loughran, Dr Cathy Jack Mrs Jennifer Welsh Mr Damian McAlister Mr Aidan Dawson Medical Director Director Surgery and Specialist Services Director Human Resources/ Organisational Development Director Specialist Hospitals and Women s Health (Interim) 31/16 Minutes of Previous Meeting Minutes of previous meeting were approved subject to minor amendments. 32/16 Matters Arising There were no matters arising. 1
33/16 Chairman s Business a. Conflicts of Interests There were no conflicts of interest noted. b. Chairman s Awards Mr McNaney was pleased to report that there were over one hundred applications for the Chairman s Awards, the shortlisting panel are meeting on Friday 7 July. There are 3 in each category, visits have been organised for the Chairman over the summer, these visits give a good feel for the complexity of the organisation and realise the work that goes on in the service. Mr McNaney will share the information regarding the visits and advised that any of the s wishing to do so, would be welcome to join him for the visits. 34/16 Chief Executive s Business a. Future configuration of Health and Social Care - Dr Rafael Bengoa Dr McBride advised it is anticipated that the DHSSPS will receive Dr Bengoa s Report within the next few weeks, this report was commissioned as a result of recommendations from Sir Liam Donaldson s report. The Department will consider the report and the next steps, the report will then go into the public domain for consultation. Dr McBride will keep Trust Board fully informed. b. Medical Staffing Rates Dr McBride reported the latest update from NIMDTA in relation to medical staffing rates for August intake indicate that there will be a number of vacancies across various specialties. This issue will be discussed at the meeting convened by the HSCB/PHA on the 7 July 2016, Mrs Bernie Owens and Mr Ray Hannon attending for Belfast Trust. c. Glenmona Resource Centre Dr McBride noted that due to the extensive efforts by Messrs Worthington, Dillon, and McAlister, together with members of their teams involved, and working closely with the HSCB, the Trust had signed and secured the Heads of Agreement and Transfer of Glenmona Resource Centre to Belfast Trust. Mr Worthington will keep the Board appraised of any further issues/ developments in relation to Glenmona. Dr McBride formally noted the hard work colleagues undertook to safeguard the service for those dependant on the Centre. s were content to note the hard work and satisfactory outcome. 2
d. Paediatric Congenital Cardiac Services Dr McBride updated Trust Board on the announcement in respect of the development of an all-island CHD Network that is intended to provide high quality and timely access to specialist cardiac services for all children and young people on the island of Ireland. This is very welcome news for families in Northern Ireland and recognition was noted for the hard work and effort by Dr Frank Casey, Consultant in the RBHSC. The development of the centre will allow urgent and elective cases to be carried out in Dublin and then return patients to the Paediatric team in Belfast for care. 35/16 Safety and Quality a. Discharge of Statutory Functions Report Mr McNaney welcomed Mr John Growcott Co-Director, Social Work Governance to the meeting and acknowledged the hard work that goes into the completion of the suite of reports that provide an overview of activity, challenges and issues of emerging significance pertaining to the Trust s delivery of statutory social care services and the related governance arrangements in respect of same. The report is prepared on a HSCB template that is used by all five Trusts. It addresses the assurance arrangements underpinning the delivery of these services across the individual Service Areas, outlines levels of compliance with the standards specified in the Scheme for the Delegation of Statutory Functions and identifies on-going and future challenges in the provision of such services. Members were reminded that the Trust, as a corporate entity, is responsible in law for the discharge of statutory social care functions delegated to it under the Health and Personal Social Services (NI) Order 1994. The Trust is accountable to the HSCB for the discharge of such functions and is obliged to establish sound organisational and related assurance arrangements to ensure their effective discharge. The Scheme for Delegation provides the overarching assurance framework for the discharge of statutory social care functions. There is now a Social Care Committee in place chaired by Ms Anne O Reilly, and attended by Professor Martin Bradley. After an enquiry from Mr McNaney, Ms O Reilly commented that there were concerns with regard to the lengthy recruitment process, Dr McBride advised that this now sits with the Business Services Organisation and that all service areas are reporting delays in recruitment, Human Resources are working hard to remedy the situation and staff from the HR Directorate in Belfast meet weekly with BSO to assist with the recruitment issues. Any pause in the rollout of the recruitment function would dilute the service. A recovery plan is being developed and the situation appears to be improving, workforce leads provide updates for the weekly meeting. 3
Ms O Reilly advised that the 6-page summary document within the papers is resultant from the work of the Social Care Committee coming together. The process is working well with the energy and action type approach and the paper provides the Trust Board and Executive Team with an opportunity to check out certain areas that require attention. Mr Growcott advised that there is dialogue, good engagement with the Non- Executive Directors and excellent feedback from staff. There is a massive amount of work involved and appreciation was noted for Mr Worthington, Mr Growcott and the teams for the on-going work that reflects the gruelling and progressive nature of the work. 36/16 Deputy Chief Executive/Director of Finance, Estates and Capital Planning a. Financial Planning 2016/17 Dr McBride commented that the situation in 2016/17 is indicative of the wider cuts process and promises to be a challenging year. Mr Dillon advised we are still awaiting the outcome of the June monitoring monies, although the Department of Health received 67 m the Minister for Health is still considering the allocation of funds to Trusts. The financial situation still requires the Trust to maintain workforce controls and savings. The Trust Board will be appraised accordingly and the Chairman and s can be assured of the commitment of the entire Executive Team to deliver services within the savings required. b. Charitable Trust Funds The recommendations for Trust Board approval from Charitable Funds Advisory Committee were noted and approved. 37/16 Audit Committee a. Minutes Mr Smyth presented the minutes of the Audit Committee meeting held on 11 April, 2016 for information. Members noted and approved the minutes. b. Terms of Reference Annual Review Members noted the Audit Committee and carried out the required annual review of the Terms of Reference and there had been no revisions made. The Terms of Reference were noted and approved. 4
38/16 Social Care Committee a. Minutes 23 February 2016 Ms O Reilly presented the minutes of the Social Care Committee meeting held on 23 February 2016 for information. Members noted and approved the minutes. 39/16 Any Other Business a. Nursing Media Stories Dr McBride highlighted some of the activities over the last few months, it has been a good year for Nursing with a number attending an event hosted by Belfast City Council, eight nurses were selected to receive framed scrolls from the Lord Mayor Arder Carson, on behalf of the nursing community to mark the Freedom of the City being granted to Belfast Nurses. There was a programme aired by the BBC hosted by Myleene Klass at the Royal Victoria Hospital, Myleene got a chance to see first-hand the invaluable work carried out by both local nursing staff and nursing staff from overseas for the service. Bronagh can send on the link. Another piece was aired on the One Show on BBC in relation to the air conditioning units used in the RVH designed locally by Harland and Wolff. Dr McBride commented that it is great to see good news stories that reflect the excellent work that goes on in the Trust. b. Changing the Culture Miss Creaney advised that there are still a few copies available of the Changing the Culture document that were available on request. 40/16 Date of next meeting Members noted the next meeting was scheduled for 6 October 2016 5